Nevada
Provider Communications

October 2018 Anthem Provider Newsletter - NV

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Title Category

Anthem fights opioid addiction: Extension for Community Healthcare Outcomes and Quality Medication-Assisted Therapy

Products & Programs

Access patient-specific drug benefit information through EMR

Pharmacy

Pharmacy information available on anthem.com

Pharmacy

Drug fee schedule update

Administrative

Fall Provider Seminars Final Announcement - registration closes October 5th!

Administrative

Anthem launches additional changes to anthem.com in October

Administrative

New process to submit claim payment disputes electronically

Administrative

Anthem accepts pre-certification requests for prescription medications online

Administrative

Special Investigations Unit updates

Administrative

Integrated Medical and Behavioral Healthcare Services

Administrative

Tips for billing CPT modifier 33

Administrative

Explore new enhancements to the Education and Reference Center on the Availity Portal

Administrative

Anthem has partnered with Availity as our designated EDI Gateway

Administrative

Availity EDI Gateway Webinars Scheduled

Administrative

Health Care Reform Updates (including Health Insurance Marketplace / Affordable Care Act)

Administrative

Assistant Surgery Services/Code List policy update - Professional

Reimbursement Policies

Reimbursement Policies are available online

Reimbursement Policies

Clear Claim Connection

Reimbursement Policies

Genetic testing prior authorization by ordering physician helps ensure accurate lab payment

Medicare

Anthem transitions MA back pain management and cardiology UM programs from OrthoNet to AIM

Medicare

Medicare pharmacy and prescriber home starts January 2019

Medicare

Keep up with Medicare news

Medicare

Services requiring prior authorization

Medicaid

Prior authorization requirements for Darzalex (daratumumab) drug

Medicaid

Prior authorization requirements for Cabazitaxel (Jevtana)

Medicaid

Prior authorization requirements for injectable/infusible drugs: mepolizumab (Nucala) and reslizumab (Cinqair)

Medicaid

Online registration processes for electronic remittance advices and electronic funds transfers

Medicaid

Anthem Blue Cross and Blue Shield Healthcare Solutions (Anthem) fights opioid addiction

Medicaid

Coding Spotlight - Obesity

Medicaid

Cervical length measurement by transvaginal ultrasound

Medicaid

Medical Policies and Clinical Utilization Management Guidelines update

Medicaid

Update to Durable Medical Equipment - effective October 14, 2018

Administrative
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